NPI | 1275679706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: IL 149002646) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000442) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-08 |