NPI | 1417464140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095932) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY P09051) |
Enumeration Date | 2018-01-03 |
Last Update Date | 2024-09-18 |