NPI | 1578954269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114653) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6801097697) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2023-03-10 |