NPI | 1952056459 |
---|---|
Former Name | THEANNAH REMI LOUISE DORRER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: WV DP00945849) |
Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903003190) |
Enumeration Date | 2022-02-14 |
Last Update Date | 2024-12-30 |