NPI | 1285912378 |
---|---|
Former Name | ADRIENNE MICHELLE TALBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11151) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082789) |
Enumeration Date | 2011-07-25 |
Last Update Date | 2016-08-18 |