| NPI | 1588029235 |
|---|---|
| Former Name | GENEVIEVE DEZYREE HANES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801102861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801115637) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2024-10-07 |