NPI | 1316667686 |
---|---|
Former Name | KANDACE ROSE MARZINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118614) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851101608) |
Enumeration Date | 2022-08-29 |
Last Update Date | 2024-06-05 |