NPI | 1487393427 |
---|---|
Former Name | EMMA BETTY CALVERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015899) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC .16584CP) |
Enumeration Date | 2022-05-28 |
Last Update Date | 2024-01-10 |