NPI | 1013446830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107965) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089502) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2024-05-30 |