NPI | 1922383413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 2020036860) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149016130) |
1041C0700X Social Worker, Clinical (Licence: MO 2020036860) | |
Enumeration Date | 2011-10-15 |
Last Update Date | 2023-10-12 |