NPI | 1306218060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094819-01) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 096094-1) |
104100000X Social Worker (Licence: NY 096094-1) | |
Enumeration Date | 2015-10-21 |
Last Update Date | 2023-08-08 |