NPI | 1447929005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112385) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851105157) |
Enumeration Date | 2021-09-08 |
Last Update Date | 2023-09-04 |