NPI | 1568622256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801089802) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007053) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2025-03-04 |