NPI | 1396496394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026698) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 2022-1749) |
104100000X Social Worker | |
Enumeration Date | 2022-01-12 |
Last Update Date | 2024-03-03 |