NPI | 1306374624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105165) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101168) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2023-04-17 |