NPI | 1356690622 |
---|---|
Former Name | TIANA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CO CSW.09923792) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2012-09-02 |
Last Update Date | 2015-02-18 |