NPI | 1922235274 |
---|---|
Former Name | EMILY VIRGINIA BRIGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R071224-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071224-1) |
Enumeration Date | 2009-06-14 |
Last Update Date | 2023-02-01 |