NPI | 1164817300 |
---|---|
Former Name | DEBORAH JOSSELYN WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020928) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW 13710) |
Enumeration Date | 2015-04-04 |
Last Update Date | 2020-04-28 |