NPI | 1093346561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06140500) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06404700) |
Enumeration Date | 2020-02-03 |
Last Update Date | 2023-02-22 |