NPI | 1437450228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012852) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007530) |
Enumeration Date | 2010-11-09 |
Last Update Date | 2024-10-24 |