NPI | 1356707855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106111) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013951) |
1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-1012) | |
Enumeration Date | 2016-01-13 |
Last Update Date | 2024-11-20 |