NPI | 1417507062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096909) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 107604) |
Enumeration Date | 2019-09-16 |
Last Update Date | 2024-01-26 |