NPI | 1710141882 |
---|---|
Former Name | LATASHA RENE HIGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006618) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 6973) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2023-09-07 |