NPI | 1497819718 |
---|---|
Former Name | LUANN LEE HANNUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004522) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00004522) |
1041C0700X Social Worker, Clinical (Licence: VA 0904006086) | |
Enumeration Date | 2006-12-21 |
Last Update Date | 2020-02-25 |