NPI | 1386097939 |
---|---|
Former Name | CEARA LEIGH CALLOWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011822) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010611) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2021-07-16 |