NPI | 1558779280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018840) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-07-25 |
Last Update Date | 2017-05-31 |