NPI | 1316362007 |
---|---|
Former Name | DEBRA DEEBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089073-01) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 084974) |
Enumeration Date | 2014-03-04 |
Last Update Date | 2021-03-17 |