NPI | 1356756530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014875) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149014875) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2014-06-25 |
Last Update Date | 2024-11-02 |