NPI | 1255723847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028134) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.110732) |
225X00000X Occupational Therapist (Licence: IL 056.011733) | |
Enumeration Date | 2015-02-19 |
Last Update Date | 2024-11-21 |