NPI | 1689078552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089075) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 093169-1) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2020-01-30 |