NPI | 1821540493 |
---|---|
Former Name | VALORIE IRENE MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801100145) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801100145) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2024-07-25 |