NPI | 1093183816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05850800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC0319-605) |
1041C0700X Social Worker, Clinical (Licence: NY 088354-1) | |
Enumeration Date | 2015-09-10 |
Last Update Date | 2020-11-03 |