NPI | 1235430695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006523) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 6925950UPD) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2020-03-19 |