NPI | 1679046809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149023544) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9021-123) |
Enumeration Date | 2019-01-10 |
Last Update Date | 2023-11-07 |