NPI | 1962140913 |
---|---|
Former Name | TAYLOR JO DRAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 104100000X Social Worker (Licence: ID 42258) |
Enumeration Date | 2022-05-20 |
Last Update Date | 2025-08-15 |