NPI | 1356956445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06218200) |
Additional Taxonomies | 104100000X Social Worker (Licence: 44sl05077800) |
Enumeration Date | 2020-09-15 |
Last Update Date | 2023-08-10 |