NPI | 1033389119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012380) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2008-03-05 |
Last Update Date | 2023-05-17 |