NPI | 1235233891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149005435) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 149005435) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2010-07-12 |