NPI | 1376026971 |
---|---|
Former Name | ALISSA NEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12923578-3501) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2018-09-10 |
Last Update Date | 2024-10-02 |