NPI | 1245789445 |
---|---|
Former Name | CAITLIN SAGANSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801108501) |
Additional Taxonomies | 106S00000X Behavior Technician |
1041C0700X Social Worker Clinical | |
Enumeration Date | 2016-09-28 |
Last Update Date | 2020-11-23 |