NPI | 1518345206 |
---|---|
Former Name | HONOR DUVALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6960) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2015-05-13 |
Last Update Date | 2023-01-05 |