NPI | 1922614791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115527) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801115527) |
Enumeration Date | 2020-09-17 |
Last Update Date | 2023-01-30 |