NPI | 1700011079 |
---|---|
Former Name | TONYA N HART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008556) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078582) |
1041C0700X Social Worker, Clinical (Licence: MD 14920) | |
Enumeration Date | 2009-05-15 |
Last Update Date | 2016-06-13 |