NPI | 1639421407 |
---|---|
Former Name | ALICIA DARLENE HUTCHINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140658) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004749) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2025-04-28 |