NPI | 1225308851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc0552400) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05602600) |
Enumeration Date | 2012-01-12 |
Last Update Date | 2013-11-18 |