| NPI | 1487659397 |
|---|---|
| Former Name | ELLEN LOUISE HAMILTON PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C2571) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000001199) |
| 1041C0700X Social Worker, Clinical (Licence: OH I-0003297) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-08-29 |