NPI | 1972273746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113476) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016262) |
Enumeration Date | 2021-09-14 |
Last Update Date | 2023-11-03 |