NPI | 1881902146 |
---|---|
Former Name | PREEYA CARLESON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29831) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 28788) |
Enumeration Date | 2010-09-21 |
Last Update Date | 2022-11-04 |