NPI | 1932282837 |
---|---|
Former Name | SANDRA RECTOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-963) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20014) |
1041C0700X Social Worker, Clinical (Licence: WY 538) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2022-06-13 |