NPI | 1548674047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093517) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801093517) |
Enumeration Date | 2014-06-12 |
Last Update Date | 2018-03-17 |