NPI | 1083254288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06350900) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl06523300) |
Enumeration Date | 2020-01-15 |
Last Update Date | 2024-07-23 |