NPI | 1366614323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 15312) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013903) |
1041C0700X Social Worker, Clinical (Licence: PA #CW016445) | |
Enumeration Date | 2008-03-31 |
Last Update Date | 2021-08-10 |