NPI | 1225681968 |
---|---|
Former Name | ELENA B HAYMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014473) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 67832) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2025-03-14 |