NPI | 1205424629 |
---|---|
Former Name | SHEVY Y HASSAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06053300) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06053100) |
Enumeration Date | 2021-01-03 |
Last Update Date | 2022-11-04 |