NPI | 1972241396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928325) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801114750) |
Enumeration Date | 2022-05-25 |
Last Update Date | 2023-09-20 |