NPI | 1902437486 |
---|---|
Other Name | TAI CRAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008486A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.021877) |
Enumeration Date | 2020-02-03 |
Last Update Date | 2020-02-03 |