NPI | 1255073607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04736600) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW013890) |
1041S0200X Social Worker, School (Licence: NJ 1231755) | |
1041C0700X Social Worker, Clinical (Licence: FL SW19389) | |
Enumeration Date | 2022-04-07 |
Last Update Date | 2022-04-07 |