NPI | 1215482609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084762) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 093568) |
Enumeration Date | 2016-08-16 |
Last Update Date | 2016-09-27 |