NPI | 1285125476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025054) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW135712) |
1041C0700X Social Worker, Clinical (Licence: NJ 44SC06064400) | |
Enumeration Date | 2018-05-23 |
Last Update Date | 2023-02-21 |