NPI | 1689066235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115427) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851106860) |
104100000X Social Worker (Licence: MI 6802088230) | |
Enumeration Date | 2015-02-19 |
Last Update Date | 2023-01-03 |