NPI | 1558574350 |
---|---|
Former Name | JANELL SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005754) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2007-05-08 |
Last Update Date | 2021-08-05 |