NPI | 1548573835 |
---|---|
Former Name | SHALUNDA DENISE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2301C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AL 2301C) |
1041S0200X Social Worker, School (Licence: AL 2301C) | |
Enumeration Date | 2010-07-15 |
Last Update Date | 2010-07-15 |