NPI | 1356996912 |
---|---|
Former Name | AMORETTE GUILLORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67819) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61143351) |
Enumeration Date | 2019-08-09 |
Last Update Date | 2021-10-07 |