NPI | 1861047763 |
---|---|
Former Name | SARAH MARIE WATKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115009) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105246) |
Enumeration Date | 2019-08-07 |
Last Update Date | 2022-11-07 |