NPI | 1851417570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18479) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013046) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-09-29 |