NPI | 1356658579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098084) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
104100000X Social Worker (Licence: MI 6801096916) | |
1041C0700X Social Worker, Clinical (Licence: MI 6801096916) | |
Enumeration Date | 2010-09-09 |
Last Update Date | 2024-12-12 |