NPI | 1063437069 |
---|---|
Former Name | MELISSA MARIE HOEKSTRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker (Licence: IA 06232) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2021-12-28 |