NPI | 1669981478 |
---|---|
Former Name | TANYA HOAGLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927730) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009922970) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2021-09-21 |