NPI | 1639501752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084637) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 089535) |
Enumeration Date | 2013-07-31 |
Last Update Date | 2017-01-28 |