NPI | 1669096509 |
---|---|
Former Name | ALINA MCLEMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11786) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-06-06 |
Last Update Date | 2024-05-29 |