NPI | 1538437678 |
---|---|
Former Name | DAWN MICHAEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 9683) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 107412) |
Enumeration Date | 2011-12-04 |
Last Update Date | 2024-11-22 |