NPI | 1912119017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088037) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005336) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2016-08-05 |