NPI | 1013425974 |
---|---|
Former Name | EMILY MARIE BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1801938) |
Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00945006) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2023-03-13 |