NPI | 1679011498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114708) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098734) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2024-05-29 |