NPI | 1497106371 |
---|---|
Former Name | SHAYNA SAVAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099437) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2016-06-22 |
Last Update Date | 2025-01-22 |