NPI | 1255182655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012450) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149026277) |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |