NPI | 1588320436 |
---|---|
Former Name | HOLLIE E ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851110236) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851110236) |
Enumeration Date | 2021-11-15 |
Last Update Date | 2024-03-15 |