NPI | 1295059814 |
---|---|
Former Name | LEAH POTVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091828) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149023411) |
Enumeration Date | 2010-03-25 |
Last Update Date | 2025-07-23 |