NPI | 1508414251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 21289) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 106781) |
Enumeration Date | 2019-08-27 |
Last Update Date | 2023-10-03 |