NPI | 1780225565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113887) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105856) |
Enumeration Date | 2019-10-03 |
Last Update Date | 2023-04-20 |