NPI | 1649589839 |
---|---|
Former Name | ALICIA DAWN HUMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05293) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010034364) |
1041C0700X Social Worker, Clinical (Licence: KS 10589) | |
Enumeration Date | 2010-10-05 |
Last Update Date | 2025-07-25 |