NPI | 1528453974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090219) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 090443) |
Enumeration Date | 2015-04-02 |
Last Update Date | 2020-10-15 |