NPI | 1295004091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114657) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012192) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2011-12-22 |