NPI | 1508233826 |
---|---|
Former Name | KARLA ROZEMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115426) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-08-24 |
Last Update Date | 2024-07-11 |