NPI | 1871061754 |
---|---|
Professional Name | ANTAYSIA NANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904010671) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 31292) |
Enumeration Date | 2018-11-08 |
Last Update Date | 2025-06-30 |