NPI | 1194410779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06311800) |
1041C0700X Social Worker, Clinical (Licence: ME LC23914) | |
1041C0700X Social Worker, Clinical (Licence: NY 095498) | |
1041C0700X Social Worker, Clinical (Licence: DE Q1-0012461) | |
Enumeration Date | 2023-04-10 |
Last Update Date | 2024-09-21 |