NPI | 1750751574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 129677) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 095956) |
1041C0700X Social Worker, Clinical (Licence: NY 095956) | |
174400000X Specialist (Licence: NY 095956-1) | |
Enumeration Date | 2015-10-06 |
Last Update Date | 2025-05-20 |