NPI | 1538764113 |
---|---|
Former Name | SHAYLA BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009926195) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 111748) |
Enumeration Date | 2020-12-02 |
Last Update Date | 2025-04-08 |