NPI | 1841835709 |
---|---|
Former Name | NATALIE REESOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851111078) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2019-11-14 |
Last Update Date | 2022-01-05 |