NPI | 1174117774 |
---|---|
Former Name | VILITHA DELORES HUFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9913-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-02-24 |
Last Update Date | 2022-06-12 |