NPI | 1881907525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.006974) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS15807) |
Enumeration Date | 2010-07-23 |
Last Update Date | 2010-07-23 |