NPI | 1790221653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024389) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 09326-01) |
Enumeration Date | 2017-01-16 |
Last Update Date | 2024-03-22 |