NPI | 1871757047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16998) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014929) |
1041C0700X Social Worker, Clinical (Licence: IN 34005507A) | |
Enumeration Date | 2008-07-16 |
Last Update Date | 2020-04-04 |