NPI | 1770994576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016592) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005552) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2015-07-15 |