NPI | 1780615435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW12767) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 071000-1) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2018-06-26 |