NPI | 1164118295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06183200) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023044) |
Enumeration Date | 2023-04-12 |
Last Update Date | 2023-04-12 |