NPI | 1467153783 |
---|---|
Former Name | DEVIN GRANER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64013) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1141202) |
Enumeration Date | 2023-03-14 |
Last Update Date | 2025-09-23 |