NPI | 1063936656 |
---|---|
Former Name | MARY BANDFIELD SKENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801097467) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097467) |
Enumeration Date | 2017-07-26 |
Last Update Date | 2024-09-25 |