NPI | 1083268304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04784200) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW025231) |
Enumeration Date | 2019-07-25 |
Last Update Date | 2024-12-02 |