| NPI | 1417468059 |
|---|---|
| Former Name | DEIDRA A WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P010797) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC PO10797) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |