NPI | 1326486424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078763) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05912600) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2023-10-11 |