NPI | 1609418169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114451) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
104100000X Social Worker (Licence: MI 6801114451) | |
Enumeration Date | 2019-10-16 |
Last Update Date | 2024-10-24 |