NPI | 1043774565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109310) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801096543) |
Enumeration Date | 2019-01-29 |
Last Update Date | 2023-06-13 |