| NPI | 1699901777 |
|---|---|
| Other Name | NITA GALE BAUCOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3296) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 3296) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2019-12-13 |