NPI | 1609315043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018853) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150014943) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2019-09-29 |