NPI | 1407262835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 9747240) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086005-1) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2017-10-30 |