NPI | 1992234009 |
---|---|
Former Name | MADELYN A WHITLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC SW15416CP) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2017-06-12 |
Last Update Date | 2024-03-19 |