NPI | 1760862023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086344) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: MI 6801086344) |
104100000X Social Worker | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2015-07-09 |