NPI | 1164569752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015417) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05319000) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-08 |