NPI | 1407378664 |
---|---|
Former Name | LEANDRA WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802089494) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2017-07-10 |
Last Update Date | 2017-07-10 |