NPI | 1265074645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095191-01) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 105841-1) |
Enumeration Date | 2019-10-17 |
Last Update Date | 2023-06-13 |