NPI | 1730617978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021030) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23614) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2022-07-21 |