NPI | 1184941775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 24579) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL Art Therapist: 05640) |
104100000X Social Worker (Licence: IL 149-00-5134) | |
Enumeration Date | 2010-04-22 |
Last Update Date | 2010-04-22 |