NPI | 1356665764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013793) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 1539330) |
Enumeration Date | 2010-03-15 |
Last Update Date | 2016-04-09 |