NPI | 1568998672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090925-01) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 088230) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2021-08-27 |