NPI | 1811025034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119968) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-008227) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2024-02-26 |