NPI | 1366773673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081581-1) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-01-26 |
Last Update Date | 2015-03-18 |