NPI | 1598100257 |
---|---|
Former Name | VANESSA STOREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106167) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8939791-3502) |
Enumeration Date | 2013-05-07 |
Last Update Date | 2020-04-06 |