NPI | 1942452784 |
---|---|
Former Name | LINDA MADREE MILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-29101) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 13370976) |
1041C0700X Social Worker, Clinical (Licence: WA LW61184392) | |
Enumeration Date | 2008-10-10 |
Last Update Date | 2023-11-16 |