NPI | 1962991158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091567) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 099059) |
1041C0700X Social Worker, Clinical (Licence: CT 10554) | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2021-09-08 |