NPI | 1245353119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR017558-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00846500) |
Enumeration Date | 2007-04-07 |
Last Update Date | 2007-07-08 |