NPI | 1376206136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12136) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 093133) |
Enumeration Date | 2021-10-19 |
Last Update Date | 2024-06-15 |