NPI | 1942332176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R075164-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LSW19090) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2015-07-30 |