NPI | 1457729246 |
---|---|
Former Name | SHANELLE WALTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17394) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL W436-785-93-675-0) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2021-08-31 |