NPI | 1083710859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R55855-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R55855) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2007-07-08 |