NPI | 1104198571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082795-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084221-1) |
Enumeration Date | 2012-02-01 |
Last Update Date | 2015-01-29 |