NPI | 1639651516 |
---|---|
Former Name | ILENE FRANCES INMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11841805-3502) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-09-06 |
Last Update Date | 2023-05-30 |