NPI | 1780007641 |
---|---|
Former Name | DEBORAH ALLRED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8349108-3501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8349108-3502) |
Enumeration Date | 2014-01-29 |
Last Update Date | 2018-05-31 |