NPI | 1487963351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074417-1) |
Additional Taxonomies | 102X00000X Poetry Therapist (Licence: NY C2009-LS) |
Enumeration Date | 2010-09-27 |
Last Update Date | 2010-09-27 |