NPI | 1780063438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8576-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.008833) |
Enumeration Date | 2015-05-28 |
Last Update Date | 2018-08-23 |