NPI | 1497131098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096535) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 094432) |
Enumeration Date | 2015-08-05 |
Last Update Date | 2023-12-26 |