| NPI | 1275783078 |
|---|---|
| Former Name | DENISE SIMONE MEDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007478) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10498) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2013-03-14 |