NPI | 1649860818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094835) |
Additional Taxonomies | 104100000X Social Worker |
104100000X Social Worker (Licence: NY 095281-01) | |
Enumeration Date | 2021-01-21 |
Last Update Date | 2023-06-30 |