NPI | 1285960054 |
---|---|
Former Name | TISHIMA LAKEEDRA RITTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14436) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2009-10-28 |
Last Update Date | 2023-01-04 |