NPI | 1033586474 |
---|---|
Former Name | LELA Y TERRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801117451) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2015-09-01 |
Last Update Date | 2024-08-28 |