NPI | 1649747692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092658) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 104766) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2022-01-18 |