NPI | 1265883631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05717400) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
104100000X Social Worker (Licence: NJ 44sl05882900) | |
Enumeration Date | 2016-06-28 |
Last Update Date | 2020-02-05 |