NPI | 1124629696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025033) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-11-02 |
Last Update Date | 2024-01-18 |