NPI | 1902055999 |
---|---|
Former Name | JO A. TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 082142) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 081208) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2014-10-21 |