NPI | 1750957783 |
---|---|
Former Name | DARLIENE BOSWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P021518) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61174316) |
Enumeration Date | 2021-06-01 |
Last Update Date | 2024-12-20 |