NPI | 1295190924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22465) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.025602) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2024-08-29 |