NPI | 1245240811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149007851) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW1171) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2007-07-08 |