NPI | 1639609662 |
---|---|
Former Name | JOSLYN HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105990) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101156) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2024-03-22 |