NPI | 1225162209 |
---|---|
Former Name | CHERYL ANN GROVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 20212) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 51658) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2010-06-18 |