NPI | 1710283148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076954-R) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06086000) |
1041C0700X Social Worker, Clinical (Licence: NY 076954) | |
Enumeration Date | 2011-02-02 |
Last Update Date | 2024-03-04 |