NPI | 1093147381 |
---|---|
Former Name | MAKENZIE LEE BROWN-HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW91987) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA 91987) |
Enumeration Date | 2013-08-08 |
Last Update Date | 2025-02-28 |