NPI | 1174846877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082348) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 081980) |
101Y00000X Counselor | |
1041C0700X Social Worker, Clinical (Licence: NJ 44SC05707000) | |
Enumeration Date | 2010-03-09 |
Last Update Date | 2017-05-08 |