NPI | 1598810921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078845-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003919) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2013-05-08 |