| NPI | 1952748535 |
|---|---|
| Former Name | SANDRA L FULTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18181) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15727) |
| 1041C0700X Social Worker, Clinical (Licence: FL 18181) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2023-04-18 |