NPI | 1457453615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015970) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-09-01 |
Last Update Date | 2020-11-30 |