NPI | 1356777437 |
---|---|
Former Name | DESIREE TOWNSEND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9673-C) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NV IC-1272) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2023-03-31 |