NPI | 1194201236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094510) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 071311) |
Enumeration Date | 2018-07-12 |
Last Update Date | 2023-03-10 |