NPI | 1174294607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109197) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34009122A) |
Enumeration Date | 2021-09-23 |
Last Update Date | 2021-09-23 |