NPI | 1831107002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-004635) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.004635) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2023-11-07 |