NPI | 1013574656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021236) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930773) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2024-11-18 |