NPI | 1467785998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 077561-1) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 071005-1) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2019-10-02 |