NPI | 1689816209 |
---|---|
Former Name | CYNTHIA JUNE FRITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5109) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 9237) |
Enumeration Date | 2009-03-27 |
Last Update Date | 2011-10-13 |