NPI | 1982870242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801088497) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801088497) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2016-12-12 |