NPI | 1174958581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086211) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089792-1) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2017-12-18 |