NPI | 1780138818 |
---|---|
Former Name | CRICKET LEIGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106235) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801099997) |
Enumeration Date | 2016-08-05 |
Last Update Date | 2022-12-08 |