NPI | 1134515331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 70823) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094393) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2024-08-08 |