NPI | 1235496225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118925) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802076253) |
Enumeration Date | 2012-04-16 |
Last Update Date | 2024-10-10 |