NPI | 1295178408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16440) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081869-1) |
Enumeration Date | 2013-04-08 |
Last Update Date | 2019-11-12 |