NPI | 1174827216 |
---|---|
Former Name | BIANCA M. BYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11948) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05436300) |
Enumeration Date | 2011-01-04 |
Last Update Date | 2017-01-25 |