NPI | 1972372720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801120454) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6851114439) |
Enumeration Date | 2023-12-21 |
Last Update Date | 2025-07-20 |