| NPI | 1619046414 |
|---|---|
| Former Name | JANET A ELLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-12-05 |