NPI | 1285956755 |
---|---|
Former Name | M OUIDA BREVARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: GA CSW002014) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW002014) |
Enumeration Date | 2010-02-24 |
Last Update Date | 2010-02-24 |