NPI | 1700512134 |
---|---|
Former Name | ALENE CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW95337) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW95337) |
Enumeration Date | 2022-07-27 |
Last Update Date | 2024-02-27 |