NPI | 1396138350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017603) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.012163) |
Enumeration Date | 2015-03-13 |
Last Update Date | 2023-04-20 |