NPI | 1790916930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 07925201) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 0739451) |
Enumeration Date | 2009-08-05 |
Last Update Date | 2021-09-21 |