NPI | 1033547047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095977) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 2539308) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2018-08-15 |