NPI | 1700028883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 077416) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 077416) |
Enumeration Date | 2009-04-03 |
Last Update Date | 2014-10-10 |