NPI | 1932766789 |
---|---|
Former Name | SHAWNESE DOTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851105161) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-05-28 |
Last Update Date | 2025-10-14 |