NPI | 1740540061 |
---|---|
Other Name | MIDGE PAYETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-931) |
Additional Taxonomies | 104100000X Social Worker (Licence: WY LCSW-931) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2020-01-09 |