NPI | 1477685170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR0071091) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 0006561) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2007-07-08 |