NPI | 1720388630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.011527) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005725A) |
Enumeration Date | 2010-10-25 |
Last Update Date | 2010-10-25 |