NPI | 1316362072 |
---|---|
Former Name | LAURA WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801101404) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 145016107) |
Enumeration Date | 2014-03-04 |
Last Update Date | 2024-08-01 |