NPI | 1942715131 |
---|---|
Former Name | TAMMIE SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW024595) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134945) |
Enumeration Date | 2017-12-09 |
Last Update Date | 2024-04-15 |