NPI | 1013018712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 066208-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R076764-01) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2024-04-11 |