NPI | 1902077282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096014) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 074559-1) |
1041C0700X Social Worker, Clinical (Licence: NY 73 077542) | |
Enumeration Date | 2008-03-14 |
Last Update Date | 2016-02-13 |