NPI | 1740798537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021316) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102969) |
Enumeration Date | 2018-01-16 |
Last Update Date | 2019-06-19 |