NPI | 1437567526 |
---|---|
Former Name | TRESSA CROSBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6851114594) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2014-08-01 |
Last Update Date | 2024-06-14 |