NPI | 1366851446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088680) |
Additional Taxonomies | 104100000X Social Worker |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-08-04 |
Last Update Date | 2021-04-05 |