| NPI | 1376829119 |
|---|---|
| Professional Name | MARY NG-TEDJASUKMANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05712100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081483-1) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2020-07-28 |