NPI | 1902164668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 067206) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002724) |
Enumeration Date | 2012-05-01 |
Last Update Date | 2012-05-01 |