NPI | 1275232241 |
---|---|
Former Name | LASHARRA WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: TX 107039) |
Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW010108) |
Enumeration Date | 2023-02-28 |
Last Update Date | 2023-02-28 |