NPI | 1336407014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082570) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 083409-1) |
Enumeration Date | 2012-05-01 |
Last Update Date | 2017-09-26 |