NPI | 1760632830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.010999) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 149.010999) |
Enumeration Date | 2008-09-25 |
Last Update Date | 2024-03-02 |