NPI | 1114308525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083853) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 084204) |
Enumeration Date | 2015-06-11 |
Last Update Date | 2019-06-20 |