NPI | 1326765645 |
---|---|
Former Name | ANNA GRAY YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09931201) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009924452) |
Enumeration Date | 2022-10-26 |
Last Update Date | 2025-01-21 |