NPI | 1700358553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016380) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 098708) |
Enumeration Date | 2018-12-18 |
Last Update Date | 2024-03-21 |