NPI | 1982015970 |
---|---|
Former Name | DANA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924806) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009920336) |
Enumeration Date | 2014-05-13 |
Last Update Date | 2019-03-07 |