NPI | 1104324490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05883100) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
1041C0700X Social Worker, Clinical (Licence: NY 052883-1) | |
Enumeration Date | 2018-02-01 |
Last Update Date | 2020-09-23 |