NPI | 1285023408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05655300) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.017037) |
1041C0700X Social Worker Clinical (Licence: PA CW018885) | |
Enumeration Date | 2015-01-12 |
Last Update Date | 2017-08-10 |