NPI | 1811912850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-008582) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS14604) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2007-07-08 |