NPI | 1821628652 |
---|---|
Former Name | KENDRA GLASPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105031) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 7539-C) |
Enumeration Date | 2020-01-21 |
Last Update Date | 2023-05-09 |