NPI | 1144418898 |
---|---|
Former Name | YOLANDA TOLBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086692) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2007-10-09 |
Last Update Date | 2020-03-07 |