NPI | 1447880554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801111370) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104944) |
Enumeration Date | 2020-01-17 |
Last Update Date | 2025-01-16 |