NPI | 1891052916 |
---|---|
Former Name | HALEY SPEER RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5773) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-57232) |
Enumeration Date | 2012-04-13 |
Last Update Date | 2024-05-14 |