NPI | 1164658886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089384) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.010801) |
Enumeration Date | 2009-06-09 |
Last Update Date | 2020-02-26 |