NPI | 1376730879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05531500) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 565494-645908) |
Enumeration Date | 2007-09-27 |
Last Update Date | 2021-08-10 |