NPI | 1225451123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084306-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088824-1) |
Enumeration Date | 2014-01-28 |
Last Update Date | 2016-06-07 |