NPI | 1215356381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100769) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L8541) |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09925179) | |
104100000X Social Worker (Licence: CO LSW.0009020489) | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2023-01-06 |