NPI | 1730132184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093788) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.010544) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2021-07-07 |