NPI | 1003371352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05935700) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06233500) |
Enumeration Date | 2019-01-31 |
Last Update Date | 2024-02-01 |