NPI | 1710400114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021592) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150102522) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2021-03-13 |