NPI | 1922585884 |
---|---|
Former Name | ZACH HORRUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NE 7244) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3179) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2023-04-28 |