NPI | 1508258633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114067) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802087552) |
Enumeration Date | 2015-02-26 |
Last Update Date | 2022-04-11 |