NPI | 1821608795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115639) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801106918) |
Enumeration Date | 2020-08-05 |
Last Update Date | 2022-12-20 |