NPI | 1861902710 |
---|---|
Former Name | CHEYENNE RENE HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 3076) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05799300) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2024-08-03 |