| NPI | 1508154964 |
|---|---|
| Former Name | DEITRIA L DAWSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11363) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW 4702) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2014-02-28 |