NPI | 1386938546 |
---|---|
Former Name | DIANA CECILIA HIGHSMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98134) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: CA ASW60683) | |
Enumeration Date | 2011-06-06 |
Last Update Date | 2023-01-26 |