NPI | 1306294335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088780) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 097675) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2023-03-18 |