NPI | 1205611092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929741) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149024690) |
Enumeration Date | 2023-08-29 |
Last Update Date | 2023-11-08 |