NPI | 1184124737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094361-01) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098895-1) |
Enumeration Date | 2018-02-20 |
Last Update Date | 2023-08-10 |