NPI | 1407455223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10114) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 103092) |
Enumeration Date | 2020-10-22 |
Last Update Date | 2022-05-16 |