NPI | 1790141414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105025) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: MI 6801100643) | |
Enumeration Date | 2016-01-11 |
Last Update Date | 2023-03-10 |