NPI | 1174066609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 122344-01) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2016-12-01 |
Last Update Date | 2024-05-26 |