NPI | 1619233566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801081884) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MI 6801081884) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2012-04-04 |