NPI | 1568122984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021046501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.023688) |
Enumeration Date | 2021-12-27 |
Last Update Date | 2021-12-27 |