NPI | 1649291915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-006870) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 6709-123) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2011-01-31 |