NPI | 1023764263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026923) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150105997) |
Enumeration Date | 2022-02-25 |
Last Update Date | 2024-04-23 |