NPI | 1447529029 |
---|---|
Former Name | CHASSITY ANGELA MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120111) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 413590) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2011-12-28 |
Last Update Date | 2020-01-31 |