NPI | 1245680560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105050) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801099683) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2021-05-25 |