NPI | 1619103967 |
---|---|
Former Name | NANCY DILL SHEPPARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 20111) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 20111) |
Enumeration Date | 2009-06-01 |
Last Update Date | 2017-04-11 |