NPI | 1578595807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021708) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801014151) |
1041S0200X Social Worker, School (Licence: MI 6801014151) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2023-02-02 |