NPI | 1629346077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0830838) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05754100) |
104100000X Social Worker (Licence: NY 085261) | |
Enumeration Date | 2011-12-13 |
Last Update Date | 2021-02-01 |