NPI | 1164682050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05408400) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069951) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2008-06-13 |