NPI | 1801168372 |
---|---|
Former Name | SARITA LOUISE JEFFERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094113) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 128557121) |
Enumeration Date | 2012-01-31 |
Last Update Date | 2024-04-15 |