NPI | 1033603568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05790900) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW021815) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2025-01-02 |