NPI | 1174600282 |
---|---|
Former Name | EMILY NEECE BOBO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 12070) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX S13585) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |