NPI | 1316449341 |
---|---|
Former Name | BRITANI SHAYNE HOLLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017034836) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017034836) |
Enumeration Date | 2018-03-06 |
Last Update Date | 2018-04-30 |