NPI | 1033393418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8552) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0807931) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2016-02-10 |