NPI | 1255509824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05380900) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073754) |
Enumeration Date | 2008-02-15 |
Last Update Date | 2008-02-15 |