NPI | 1073038238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105441) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801100942) |
Enumeration Date | 2017-08-09 |
Last Update Date | 2021-12-22 |