NPI | 1174221105 |
---|---|
Former Name | EMILEE ELIZABETH SEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200001783) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013865) |
1041C0700X Social Worker, Clinical (Licence: OH I.1801197) | |
Enumeration Date | 2023-02-20 |
Last Update Date | 2023-12-09 |