NPI | 1235428780 |
---|---|
Former Name | JOY A LANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1101049) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S.0901107) |
1041C0700X Social Worker Clinical (Licence: NC C014568) | |
1041C0700X Social Worker Clinical (Licence: TX 106816) | |
Enumeration Date | 2011-04-06 |
Last Update Date | 2022-04-12 |