NPI | 1497092720 |
---|---|
Former Name | CARRIE COPELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 8071-C) |
Additional Taxonomies | 253J00000X Foster Care Agency |
Enumeration Date | 2013-01-07 |
Last Update Date | 2019-08-26 |