NPI | 1629746581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117592) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2021-09-03 |
Last Update Date | 2025-02-27 |