NPI | 1174714562 |
---|---|
Former Name | SUZANNE MARIE COHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05267700) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05135800) |
1041S0200X Social Worker, School (Licence: NJ 44SL05135800) | |
Enumeration Date | 2007-08-09 |
Last Update Date | 2023-10-20 |