NPI | 1295299162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022210) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150103586) |
Enumeration Date | 2019-01-25 |
Last Update Date | 2022-06-28 |