NPI | 1538700596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119125) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105686) |
Enumeration Date | 2019-10-01 |
Last Update Date | 2025-03-13 |