NPI | 1295942050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005609) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R076557-1) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2013-05-14 |