NPI | 1730590787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021048802) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.016539) |
Enumeration Date | 2014-05-13 |
Last Update Date | 2023-11-29 |