NPI | 1164976759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05866100) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2016-08-11 |
Last Update Date | 2021-02-19 |