NPI | 1912363672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017299) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 61516) |
Enumeration Date | 2016-01-11 |
Last Update Date | 2016-01-11 |