NPI | 1205086626 |
---|---|
Former Name | TERILYN ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW3643) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 1720) |
1041C0700X Social Worker, Clinical (Licence: HI 3643) | |
Enumeration Date | 2008-09-22 |
Last Update Date | 2018-10-24 |