NPI | 1194259424 |
---|---|
Former Name | DENNISE SERUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022689) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-04-13 |
Last Update Date | 2024-09-18 |