NPI | 1922408715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096728) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096728) |
Enumeration Date | 2014-08-28 |
Last Update Date | 2016-09-22 |