NPI | 1629858238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.029184) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.106686) |
Enumeration Date | 2023-10-02 |
Last Update Date | 2025-05-01 |