NPI | 1548440894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17989) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R055581) |
Enumeration Date | 2007-11-04 |
Last Update Date | 2012-09-20 |