NPI | 1245724350 |
---|---|
Former Name | PATRICIA BURROWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2518) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV 462) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2023-03-30 |