NPI | 1205141595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801086775) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801086775) |
Enumeration Date | 2010-08-11 |
Last Update Date | 2023-11-15 |