NPI | 1922148873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801066201) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL 1900) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2007-07-08 |