NPI | 1902223704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084841-1) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 088800-1) |
Enumeration Date | 2014-03-18 |
Last Update Date | 2022-07-08 |