NPI | 1114190998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22741) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 085173) |
101YM0800X Counselor, Mental Health (Licence: NY 004614) | |
1041C0700X Social Worker, Clinical (Licence: DC LC50081362) | |
1041C0700X Social Worker, Clinical (Licence: VA 0904009980) | |
Enumeration Date | 2008-04-11 |
Last Update Date | 2018-06-27 |