NPI | 1689412553 |
---|---|
Former Name | KATOYA CORLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-21548) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-21548) |
Enumeration Date | 2024-07-16 |
Last Update Date | 2025-09-07 |