NPI | 1124662622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115770) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102467) |
Enumeration Date | 2019-10-29 |
Last Update Date | 2023-02-08 |