NPI | 1164886966 |
---|---|
Former Name | TAYLOR HENKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6851114764) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2016-04-07 |
Last Update Date | 2022-06-15 |