NPI | 1427546886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116028) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 6148) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2023-11-09 |