NPI | 1720373319 |
---|---|
Former Name | JAMIE LEE CRIMMINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117714) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2011-06-13 |
Last Update Date | 2018-09-07 |