NPI | 1821786567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12588) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.025065) |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-05-01 |