NPI | 1902285125 |
---|---|
Former Name | ANN CAMILLE BALDONI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109289) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2015-05-20 |
Last Update Date | 2021-04-07 |