NPI | 1538200670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 63119) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 203394615) |
Enumeration Date | 2007-02-10 |
Last Update Date | 2014-11-17 |