NPI | 1497070130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 068598-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW013842) |
Enumeration Date | 2010-04-06 |
Last Update Date | 2010-04-06 |