NPI | 1659528578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076186) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 01886) |
Enumeration Date | 2008-08-21 |
Last Update Date | 2008-08-21 |