NPI | 1548393093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-013338) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150-010979) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2008-12-04 |