NPI | 1780618140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 070417) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076546) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2021-03-19 |