NPI | 1073175584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021403) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 104178) |
Enumeration Date | 2019-07-04 |
Last Update Date | 2022-05-27 |