NPI | 1821672569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087150) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087150-1) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2021-05-10 |