NPI | 1821643479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025177) |
Additional Taxonomies | 104100000X Social Worker |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-08-09 |
Last Update Date | 2024-05-22 |