NPI | 1245744317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100350) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 102100-1) |
Enumeration Date | 2017-11-27 |
Last Update Date | 2025-06-14 |