NPI | 1134337694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 027393R) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00767000) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2011-06-28 |