NPI | 1396980769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.000023) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 6617-123) |
Enumeration Date | 2008-12-12 |
Last Update Date | 2013-12-11 |