| NPI | 1245813351 |
|---|---|
| Former Name | BETH LEVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000226803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06571800) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |