NPI | 1063760163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22399) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 081585) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2018-01-02 |