NPI | 1487319133 |
---|---|
Former Name | SAMANTHA STOICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117308) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851110888) |
Enumeration Date | 2021-11-07 |
Last Update Date | 2024-06-27 |