NPI | 1598783599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MA 222711) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R030698) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2019-09-26 |