NPI | 1891574265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6851117244) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851117244) |
Enumeration Date | 2023-09-26 |
Last Update Date | 2023-09-26 |