NPI | 1235623125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025919) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: MA 000123138) | |
Enumeration Date | 2018-06-14 |
Last Update Date | 2024-08-01 |