NPI | 1881095842 |
---|---|
Former Name | NINA PAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY 1169) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 7186) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2022-09-27 |