NPI | 1285914655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081238-1) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 084408) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2014-01-11 |