NPI | 1972840932 |
---|---|
Former Name | CYD MCDANIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008607) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006122) |
Enumeration Date | 2013-01-10 |
Last Update Date | 2019-03-17 |