NPI | 1417523184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123524) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149025920) |
Enumeration Date | 2021-06-02 |
Last Update Date | 2025-10-03 |