NPI | 1407334659 |
---|---|
Former Name | LATEISHA HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: KS 10778) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017017993) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2024-05-31 |