NPI | 1578172540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801078790) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09929890) |
Enumeration Date | 2020-07-27 |
Last Update Date | 2024-01-04 |