NPI | 1972838365 |
---|---|
Former Name | SHERIAN ALECIA WAITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005524) |
Enumeration Date | 2009-10-02 |
Last Update Date | 2021-06-02 |