NPI | 1376127340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096502) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 109794-01) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2023-11-17 |