NPI | 1366019077 |
---|---|
Former Name | SHALENE WALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2021-06-10 |
Last Update Date | 2025-09-18 |