NPI | 1053991786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117679) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851114159) |
Enumeration Date | 2021-04-08 |
Last Update Date | 2024-09-21 |