NPI | 1306947262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28196) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149011369) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2016-06-15 |