NPI | 1134789902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6851104699) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801104699) |
Enumeration Date | 2019-06-14 |
Last Update Date | 2021-08-04 |