NPI | 1235614322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092817) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 104909) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2022-06-20 |