NPI | 1700574092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 080434) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149002897) |
Enumeration Date | 2023-04-25 |
Last Update Date | 2023-04-28 |