NPI | 1265995047 |
---|---|
Former Name | JAMIE LEE DILLION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW18989) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801087227) |
1041C0700X Social Worker Clinical (Licence: WI 10199-23) | |
Enumeration Date | 2019-04-09 |
Last Update Date | 2023-05-12 |