NPI | 1700346251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021954) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150015761) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2020-05-14 |