NPI | 1568023752 |
---|---|
Other Name | MIRIAM GABRIELLE FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104755) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 99432) |
104100000X Social Worker (Licence: TX 67814) | |
Enumeration Date | 2019-06-27 |
Last Update Date | 2024-06-25 |