NPI | 1477832673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082783R) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084036) |
1041C0700X Social Worker, Clinical (Licence: NY 082783) | |
Enumeration Date | 2011-08-05 |
Last Update Date | 2018-04-19 |