NPI | 1134318538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007192) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078043) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2014-04-09 |