NPI | 1740615525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081654-1) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 082566) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2014-08-12 |