NPI | 1639328651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R036291-1) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY R036291-1) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2008-09-15 |