NPI | 1639495377 |
---|---|
Former Name | ANDREA LEIGH WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW 09924286) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 080456) |
104100000X Social Worker (Licence: NM M-07831) | |
Enumeration Date | 2010-04-19 |
Last Update Date | 2017-04-11 |