NPI | 1992983969 |
---|---|
Former Name | JONIE P CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: GA CSW004492) |
Additional Taxonomies | 104100000X Social Worker (Licence: GA msw004154) |
1041C0700X Social Worker, Clinical (Licence: GA CSW004492) | |
Enumeration Date | 2008-02-01 |
Last Update Date | 2019-02-06 |