NPI | 1720532039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 086927) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 093079) |
Enumeration Date | 2016-08-04 |
Last Update Date | 2019-11-20 |