NPI | 1750809315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106126) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101610) |
Enumeration Date | 2017-09-05 |
Last Update Date | 2022-07-21 |