NPI | 1609418649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012112) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 902307) |
Enumeration Date | 2019-10-10 |
Last Update Date | 2023-06-12 |