NPI | 1235520958 |
---|---|
Former Name | ALEXA KATZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05863500) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05954600) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2019-05-29 |