| NPI | 1952915225 |
|---|---|
| Former Name | SAVANNAH LYNN POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 5172C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 4913G) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2022-11-09 |