NPI | 1952627846 |
---|---|
Other Name | TAMELA SUZETTE MALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 53656) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 53656) |
Enumeration Date | 2010-04-16 |
Last Update Date | 2020-05-28 |