| NPI | 1316013253 |
|---|---|
| Former Name | SALLY MEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW992910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 16760) |
| 1041C0700X Social Worker, Clinical (Licence: NM I-06170) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW16760) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2022-11-07 |