| NPI | 1821390303 |
|---|---|
| Former Name | ANNIE LARAE TERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7357-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5968-s) |
| 1041C0700X Social Worker, Clinical (Licence: KS 06501) | |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2025-11-19 |