| NPI | 1255955266 |
|---|---|
| Former Name | SELENAANN MILICANT KRISTINE BALDWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 179516) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2023-04-27 |