NPI | 1164860722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083174) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 084070) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2024-03-20 |