NPI | 1629449442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092187) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 086916-1) |
1041C0700X Social Worker, Clinical (Licence: NY 092198-01) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2015-10-20 |
Last Update Date | 2023-05-03 |