NPI | 1043543374 |
---|---|
Former Name | SHEILA RENEE BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091220) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801091220) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801091220) | |
Enumeration Date | 2009-09-18 |
Last Update Date | 2024-06-26 |