NPI | 1730422155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086907) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05692900) |
1041C0700X Social Worker, Clinical (Licence: CA 105412) | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2021-11-15 |