NPI | 1578046579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.023054) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
104100000X Social Worker | |
Enumeration Date | 2018-09-14 |
Last Update Date | 2025-08-14 |