NPI | 1578708624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014647) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.011590) |
Enumeration Date | 2008-12-03 |
Last Update Date | 2018-11-16 |