NPI | 1396166492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11818566-3501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.014503) |
Enumeration Date | 2013-12-17 |
Last Update Date | 2024-11-15 |