NPI | 1801277140 |
---|---|
Former Name | KERRI SIENKIEWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105611) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801097994) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2021-12-14 |