NPI | 1497208664 |
---|---|
Former Name | JENNIFER WALMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099974) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801099974) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2018-11-14 |