NPI | 1295244952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801101907) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014514) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2024-09-07 |