NPI | 1720551104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 115724) |
Additional Taxonomies | 101YS0200X Counselor School (Licence: NY 1265412181) |
Enumeration Date | 2019-01-08 |
Last Update Date | 2022-06-14 |