NPI | 1265852420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084490-1) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 72087088) |
Enumeration Date | 2014-04-25 |
Last Update Date | 2019-04-18 |