NPI | 1295780658 |
---|---|
Former Name | LARHONDA S MINGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13108) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078291) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2021-06-02 |