NPI | 1053925628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108876) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802090841) |
Enumeration Date | 2020-09-01 |
Last Update Date | 2024-04-09 |