NPI | 1033240809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114815) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS20028) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2024-04-17 |