NPI | 1245603489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116922) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080696) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2024-06-18 |