NPI | 1245644210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926987) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102236) |
104100000X Social Worker (Licence: CO 1041C0700X) | |
Enumeration Date | 2014-06-17 |
Last Update Date | 2025-08-19 |