NPI | 1922714344 |
---|---|
Former Name | TANEASHA REDMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker (Licence: MD 29463) |
Enumeration Date | 2023-01-30 |
Last Update Date | 2025-03-21 |