NPI | 1407373830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007564) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.018940) |
Enumeration Date | 2017-08-25 |
Last Update Date | 2024-05-13 |