NPI | 1093131906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924961) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.016009) |
Enumeration Date | 2014-03-16 |
Last Update Date | 2017-08-28 |