NPI | 1295366235 |
---|---|
Former Name | DEBORAH LYNN SHEPHERD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW76955) |
Enumeration Date | 2020-01-29 |
Last Update Date | 2022-05-26 |