NPI | 1013389154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091235) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 096040-1) |
Enumeration Date | 2015-10-28 |
Last Update Date | 2021-05-12 |