NPI | 1699809962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13068) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075863) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2012-12-06 |