NPI | 1528814084 |
---|---|
Former Name | LABREA SHAVON LINDSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: TN 11786) |
Additional Taxonomies | 104100000X Social Worker (Licence: LA 17776) |
Enumeration Date | 2024-04-25 |
Last Update Date | 2024-04-25 |