NPI | 1811104128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R032375) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000614) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |