NPI | 1811626435 |
---|---|
Former Name | GRACEANNE GAYLE PINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017578) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-06-08 |
Last Update Date | 2025-01-08 |