NPI | 1649772005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.015805) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020577) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2018-09-11 |