NPI | 1548512395 |
---|---|
Former Name | TANYA ROE SCHIMON-BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 774) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 1840) |
Enumeration Date | 2012-10-03 |
Last Update Date | 2012-10-03 |