NPI | 1083863450 |
---|---|
Former Name | AYANNA AFRIKA SOLGATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085522) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801085522) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2019-12-12 |