NPI | 1588224570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116409) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801104356) |
1041C0700X Social Worker, Clinical (Licence: MI 6801104356) | |
Enumeration Date | 2019-06-20 |
Last Update Date | 2024-05-28 |