NPI | 1588985592 |
---|---|
Former Name | PAULA JEAN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54112) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 54112) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2025-01-19 |