NPI | 1144430828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011811) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801089003) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2016-05-12 |