NPI | 1700158714 |
---|---|
Other Name | N/A N/A |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089027) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 082963) |
Enumeration Date | 2012-02-07 |
Last Update Date | 2023-03-01 |