NPI | 1598865628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075949) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 069029) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2022-03-10 |