NPI | 1346427945 |
---|---|
Former Name | CHARLENE M SEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3576C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW002789) |
Enumeration Date | 2008-01-25 |
Last Update Date | 2021-09-24 |