NPI | 1013358209 |
---|---|
Former Name | SARA A MELICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 6801104113) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801095583) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2024-02-02 |