NPI | 1992065296 |
---|---|
Former Name | KENISHA LASHELL REAUX HUDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: TX 54954) |
Additional Taxonomies | 104100000X Social Worker (Licence: TN 8562) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2012-05-21 |