NPI | 1295804193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 003735) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R010111-1) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2012-01-25 |