NPI | 1922421635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113818) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801096249) |
Enumeration Date | 2014-01-31 |
Last Update Date | 2023-05-11 |