NPI | 1952824617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103723) |
Additional Taxonomies | 156F00000X Technician/Technologist |
Enumeration Date | 2017-07-24 |
Last Update Date | 2022-07-21 |