NPI | 1619515418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095559) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 096543) |
Enumeration Date | 2019-12-12 |
Last Update Date | 2023-09-07 |