NPI | 1891930228 |
---|---|
Former Name | SHIRLEY D LEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16581) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-12619) |
Enumeration Date | 2008-12-15 |
Last Update Date | 2018-07-13 |