NPI | 1306044920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R077326-1) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 642642051) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2013-03-22 |