| NPI | 1740461110 |
|---|---|
| Former Name | DAPHNE DIANE UPCHURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 4842) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 00000004842) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2023-04-27 |