NPI | 1952584716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079646) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC16315) |
Enumeration Date | 2007-12-14 |
Last Update Date | 2021-04-28 |