NPI | 1710597638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094204-01) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081605) |
1041C0700X Social Worker, Clinical (Licence: LA 17740) | |
Enumeration Date | 2020-08-05 |
Last Update Date | 2024-06-25 |