NPI | 1497028682 |
---|---|
Former Name | DEJA RACHELLE ETHEL EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 8661-C) |
Additional Taxonomies | 253J00000X Foster Care Agency |
Enumeration Date | 2012-02-17 |
Last Update Date | 2022-03-22 |