NPI | 1164888335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096122-1) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 0961221) |
Enumeration Date | 2016-01-04 |
Last Update Date | 2018-09-13 |