NPI | 1275185605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05797200) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 959153) |
Enumeration Date | 2019-07-16 |
Last Update Date | 2019-07-16 |