NPI | 1477851913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 074933) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009055) |
Enumeration Date | 2011-03-08 |
Last Update Date | 2016-05-03 |