NPI | 1750668455 |
---|---|
Former Name | ALLISON DUBON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86845) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW67014) |
Enumeration Date | 2011-11-08 |
Last Update Date | 2022-05-17 |