| NPI | 1497874747 |
|---|---|
| Former Name | LLORA JEAN NEGRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8868) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: SC 8828) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-09-18 |