NPI | 1629638895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851107140) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802090406) |
1041C0700X Social Worker, Clinical (Licence: MI 6801107140) | |
Enumeration Date | 2019-06-19 |
Last Update Date | 2021-07-20 |