NPI | 1740894153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091110) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 103133) |
Enumeration Date | 2020-09-02 |
Last Update Date | 2023-12-09 |