NPI | 1043642119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-14081) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-004378) |
Enumeration Date | 2013-07-31 |
Last Update Date | 2022-07-14 |