NPI | 1134352099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74310) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.010166) |
Enumeration Date | 2009-08-26 |
Last Update Date | 2021-07-24 |