NPI | 1396869269 |
---|---|
Former Name | MARIA VASICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.002343) |
Additional Taxonomies | 1041S0200X Social Worker, School |
Enumeration Date | 2007-03-18 |
Last Update Date | 2007-07-08 |