NPI | 1699024851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094315) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 60681) |
Enumeration Date | 2012-09-04 |
Last Update Date | 2017-01-24 |