NPI | 1215213673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10527) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05259900) |
Enumeration Date | 2011-10-31 |
Last Update Date | 2019-10-01 |