NPI | 1235398017 |
---|---|
Former Name | CHIVONNE MARIE SWEENEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-34755) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA RC60019333) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2015-11-04 |