NPI | 1497150353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.022393) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IL 36-6006553) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2020-08-18 |