NPI | 1033657929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015622) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 004951) |
Enumeration Date | 2017-02-10 |
Last Update Date | 2017-02-10 |