NPI | 1720451628 |
---|---|
Former Name | NANCI BURT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002930) |
Additional Taxonomies | 104100000X Social Worker (Licence: SC 14762) |
1041C0700X Social Worker, Clinical (Licence: SC 14762) | |
Enumeration Date | 2015-11-02 |
Last Update Date | 2023-03-01 |