NPI | 1205303708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927442) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0626132) |
1041C0700X Social Worker, Clinical (Licence: NY 095555) | |
Enumeration Date | 2018-11-01 |
Last Update Date | 2022-02-16 |