NPI | 1548783699 |
---|---|
Former Name | ELIZABETH BELANGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114035) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801114035) |
1041C0700X Social Worker, Clinical (Licence: MI 6851102703) | |
Enumeration Date | 2017-07-20 |
Last Update Date | 2023-12-06 |