NPI | 1235731902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115328) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IN 33009903A) |
101Y00000X Counselor (Licence: MI 6851110782) | |
Enumeration Date | 2020-11-09 |
Last Update Date | 2024-02-28 |