NPI | 1023601564 |
---|---|
Former Name | VIKITA D WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801087237) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801087237) |
Enumeration Date | 2021-02-16 |
Last Update Date | 2024-04-10 |