NPI | 1629767884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025342) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 086104) |
Enumeration Date | 2023-05-03 |
Last Update Date | 2023-05-03 |