NPI | 1134557473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015829) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801103517) |
Enumeration Date | 2013-10-24 |
Last Update Date | 2025-06-10 |