NPI | 1538572177 |
---|---|
Former Name | HEATHER JO CULP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8135) |
Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33914) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2020-07-27 |