NPI | 1750859138 |
---|---|
Former Name | VALERIE DUNHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008217) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015000) |
Enumeration Date | 2018-11-05 |
Last Update Date | 2022-09-26 |