NPI | 1225698137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021745) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 100094) |
Enumeration Date | 2019-06-13 |
Last Update Date | 2024-11-08 |