NPI | 1972657419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 19476) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149001386) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |