NPI | 1679280119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149028138) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150109519) |
Enumeration Date | 2022-11-03 |
Last Update Date | 2024-11-14 |