NPI | 1932754694 |
---|---|
Former Name | AUBREY ANN KIRBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113534) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801105198) |
Enumeration Date | 2019-08-08 |
Last Update Date | 2021-11-10 |