NPI | 1821217266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R076602) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04400100) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2010-09-30 |