| NPI | 1861675910 |
|---|---|
| Former Name | GLENDA BAKER WHITEHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09929373) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS LSCSW4010) |
| 1041C0700X Social Worker Clinical (Licence: MO 2010022289) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2023-08-28 |