NPI | 1144627837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026541) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 1407971211) |
Enumeration Date | 2014-11-25 |
Last Update Date | 2024-11-20 |