NPI | 1679297899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096256-01) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 059392-01) |
Enumeration Date | 2022-09-30 |
Last Update Date | 2023-10-14 |