NPI | 1104018431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00447700) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW014349) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2024-05-17 |