NPI | 1568001295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024323) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017155) |
1041C0700X Social Worker, Clinical (Licence: ND 6747) | |
Enumeration Date | 2019-12-28 |
Last Update Date | 2024-08-15 |