NPI | 1134265598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009056) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012717) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2025-08-25 |