NPI | 1285754960 |
---|---|
Former Name | THOMASENA LAMENA CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61221460) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2058-C) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2023-10-09 |