NPI | 1619083649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 10864) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01010800) |
1041C0700X Social Worker, Clinical (Licence: NY R025511-1) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2020-08-30 |