NPI | 1477992188 |
---|---|
Former Name | LATOSHA M DUESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2138) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2108) |
1041C0700X Social Worker, Clinical (Licence: NE 1822) | |
Enumeration Date | 2013-06-17 |
Last Update Date | 2021-12-23 |