NPI | 1669779302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-017530) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 9798) |
Enumeration Date | 2011-02-15 |
Last Update Date | 2022-01-24 |