NPI | 1972801819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085537) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801085537) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2020-03-13 |