NPI | 1134726847 |
---|---|
Former Name | EMILY ELIZABETH FARHAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115593) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW20943) |
Enumeration Date | 2020-10-06 |
Last Update Date | 2024-03-06 |