NPI | 1194846915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085624) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 1194846915) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2024-02-24 |