NPI | 1629010475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 68101064336) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: MI 064336) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2024-02-24 |