NPI | 1740771237 |
---|---|
Former Name | TWANNA THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: TN 8120) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 8120) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2023-02-27 |