NPI | 1962043661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094705) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 105936) |
Enumeration Date | 2019-10-03 |
Last Update Date | 2023-02-20 |