NPI | 1376536367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801013579) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-00035) |
104100000X Social Worker (Licence: MI Gender Identity Spec) | |
1041C0700X Social Worker, Clinical (Licence: MI 6810103579) | |
106H00000X Marriage & Family Therapist (Licence: MI 4101005512) | |
Enumeration Date | 2005-08-25 |
Last Update Date | 2023-05-16 |