NPI | 1114416559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0996571) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 0996571) |
1041S0200X Social Worker, School (Licence: NY 0996571) | |
Enumeration Date | 2018-05-01 |
Last Update Date | 2024-07-31 |