NPI | 1033650999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090348) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: 000000) |
1041C0700X Social Worker, Clinical (Licence: AR 9417-c) | |
207ZF0201X Pathology, Forensic Pathology (Licence: MI 000000) | |
Enumeration Date | 2017-03-12 |
Last Update Date | 2024-11-05 |