NPI | 1255582151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801086156) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 1808086156) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2024-05-28 |