NPI | 1063577344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR014666-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY PR014666) |
1041C0700X Social Worker, Clinical (Licence: CT 003957) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2009-05-27 |