NPI | 1568828119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108567) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101423) |
1041C0700X Social Worker, Clinical (Licence: MI 6801101423) | |
Enumeration Date | 2016-01-12 |
Last Update Date | 2021-01-07 |