NPI | 1437992278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024617) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW112640) |
1041C0700X Social Worker, Clinical (Licence: VA 0904015805) | |
Enumeration Date | 2024-06-18 |
Last Update Date | 2024-06-18 |