NPI | 1598073389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089862) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 218949) |
Enumeration Date | 2010-09-15 |
Last Update Date | 2013-08-23 |