NPI | 1679097802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018898) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4052) |
1041C0700X Social Worker, Clinical (Licence: MO 2009009458) | |
Enumeration Date | 2017-07-30 |
Last Update Date | 2017-07-30 |