NPI | 1811368624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088049) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 095419-1) |
Enumeration Date | 2015-10-19 |
Last Update Date | 2019-03-25 |