NPI | 1841725504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018939) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IL 149.018939) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2021-03-06 |