NPI | 1518265768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082267-1) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 0745151) |
Enumeration Date | 2011-03-10 |
Last Update Date | 2017-11-28 |