NPI | 1194178061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020390) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150101702) |
Enumeration Date | 2016-07-15 |
Last Update Date | 2019-08-26 |