NPI | 1669971065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.010717) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 149.010717) |
104100000X Social Worker (Licence: IL 149.010717) | |
Enumeration Date | 2018-02-12 |
Last Update Date | 2018-02-12 |