NPI | 1659760577 |
---|---|
Former Name | LLORIN M EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014015) |
Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50080622) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2022-06-25 |