NPI | 1053903112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05976600) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079636) |
Enumeration Date | 2021-02-09 |
Last Update Date | 2021-03-02 |