NPI | 1255629002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119886) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001083) |
Enumeration Date | 2011-07-14 |
Last Update Date | 2025-04-17 |