NPI | 1578312849 |
---|---|
Former Name | CAMILLE LANELLE MCCASKILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23088) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW-16914) |
Enumeration Date | 2024-05-17 |
Last Update Date | 2024-05-30 |