NPI | 1265076798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801114607) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801105656) |
Enumeration Date | 2019-10-28 |
Last Update Date | 2024-04-04 |