NPI | 1881291763 |
---|---|
Former Name | DALLAS HUTCHINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010172A) |
Additional Taxonomies | 104100000X Social Worker (Licence: IN 33009791A) |
Enumeration Date | 2020-10-05 |
Last Update Date | 2023-05-15 |