NPI | 1013225754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091814) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149015191) |
1041C0700X Social Worker, Clinical (Licence: ME MC12620) | |
Enumeration Date | 2010-09-15 |
Last Update Date | 2024-06-26 |