NPI | 1811047806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.010446) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 2140953) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2009-09-09 |