NPI | 1104028778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00666500) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R034788-1) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2007-07-08 |