NPI | 1588297485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025252) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.104054) |
Enumeration Date | 2020-02-19 |
Last Update Date | 2023-03-07 |