NPI | 1598773558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13724) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY R0491501) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2012-07-31 |