NPI | 1619638533 |
---|---|
Former Name | ANNA GAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61624539) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06667400) |
Enumeration Date | 2022-01-03 |
Last Update Date | 2024-12-17 |