NPI | 1104278696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093114) |
Additional Taxonomies | 247200000X Technician, Other |
Enumeration Date | 2016-07-07 |
Last Update Date | 2023-06-22 |