NPI | 1841531373 |
---|---|
Former Name | ANNIE LAURIE MCGRANAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11414) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014714) |
Enumeration Date | 2013-03-07 |
Last Update Date | 2020-04-06 |