NPI | 1609418490 |
---|---|
Former Name | SHOLANNDA SMALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 100950) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-10-13 |
Last Update Date | 2023-04-05 |