NPI | 1275141061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093976) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: FL TPSW3393) | |
Enumeration Date | 2020-07-17 |
Last Update Date | 2024-10-29 |