NPI | 1679818587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103959) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802087562) |
Enumeration Date | 2012-12-04 |
Last Update Date | 2021-11-24 |