NPI | 1831646553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104586) |
Additional Taxonomies | 247200000X Technician, Other |
Enumeration Date | 2016-09-11 |
Last Update Date | 2019-05-28 |