NPI | 1720635147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091541) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 095815) |
Enumeration Date | 2019-08-20 |
Last Update Date | 2023-01-28 |