NPI | 1538487459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082814-R) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082814-1) |
Enumeration Date | 2010-05-17 |
Last Update Date | 2019-09-28 |