NPI | 1619300803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 75501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149016051) |
Enumeration Date | 2013-08-12 |
Last Update Date | 2014-09-22 |