NPI | 1679903652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020446) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2013-11-12 |
Last Update Date | 2019-08-14 |