NPI | 1578173571 |
---|---|
Former Name | SIERRA CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022036957) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020022824) |
Enumeration Date | 2020-08-04 |
Last Update Date | 2025-06-30 |