NPI | 1952625246 |
---|---|
Former Name | CHERISA DEBOLT |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4353) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2010-03-16 |
Last Update Date | 2025-02-12 |