NPI | 1942508650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.011868) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-011868) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2019-05-14 |