NPI | 1528721065 |
---|---|
Former Name | ALICE JAMIE PAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106055) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 106055) |
Enumeration Date | 2021-10-21 |
Last Update Date | 2023-10-31 |