NPI | 1720668494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020095) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085669-01) |
Enumeration Date | 2021-04-08 |
Last Update Date | 2021-04-08 |