NPI | 1609238476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15482) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098218) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2022-12-08 |