NPI | 1295283786 |
---|---|
Former Name | SARAH WILSON MCCONKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06013500) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089891) |
Enumeration Date | 2016-09-14 |
Last Update Date | 2025-03-21 |