| NPI | 1821850322 |
|---|---|
| Former Name | SHALEA BRIDGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 118868) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD 6324) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |