NPI | 1275922718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 4664155) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06035600) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2019-01-17 |