NPI | 1568897312 |
---|---|
Former Name | KADY THIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018820) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-13017) |
Enumeration Date | 2013-09-12 |
Last Update Date | 2017-02-03 |