NPI | 1023650017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06264400) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06503500) |
Enumeration Date | 2019-10-11 |
Last Update Date | 2024-09-11 |