NPI | 1053653840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11227) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 070494) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2013-05-02 |