NPI | 1184007619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23736) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098304) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2025-04-15 |