NPI | 1760805295 |
---|---|
Former Name | CINDEE MCCULLOUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79762) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 18057) |
Enumeration Date | 2014-02-04 |
Last Update Date | 2024-12-09 |