NPI | 1275776007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092268) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014004) |
1041C0700X Social Worker, Clinical (Licence: NC C014647) | |
Enumeration Date | 2009-04-09 |
Last Update Date | 2023-05-05 |