NPI | 1992101588 |
---|---|
Former Name | YOLANDA NIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 32420) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50080095) |
Enumeration Date | 2014-11-10 |
Last Update Date | 2024-07-15 |