NPI | 1659867539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801102534) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 113526) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2022-08-23 |