NPI | 1083761373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW014782) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04566300) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2007-07-08 |