| NPI | 1912203399 |
|---|---|
| Former Name | ANNIE MICHELLE MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 2516-m) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2017-03-29 |