NPI | 1306109335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091927-1) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-06-25 |
Last Update Date | 2015-05-21 |