| NPI | 1215660659 |
|---|---|
| Former Name | SIARRA ADEGBOYEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009435) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851100344) |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2025-02-03 |