NPI | 1073950564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016717) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150013963) |
Enumeration Date | 2013-05-24 |
Last Update Date | 2020-12-03 |