NPI | 1811351448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018054) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 134769) |
Enumeration Date | 2016-04-10 |
Last Update Date | 2025-09-30 |