NPI | 1376862029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05449200) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016528) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2015-11-09 |