NPI | 1013612613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06291600) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21295) |
Enumeration Date | 2023-04-03 |
Last Update Date | 2025-09-08 |