NPI | 1598062812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076509-1) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 1708401) |
Enumeration Date | 2011-02-23 |
Last Update Date | 2011-02-23 |