NPI | 1770232852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801118039) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6851114151) |
Enumeration Date | 2022-03-23 |
Last Update Date | 2024-05-20 |