NPI | 1518081553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R029329-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 003678) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2024-10-12 |