NPI | 1386073344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC055526500) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW3947) |
Enumeration Date | 2013-11-10 |
Last Update Date | 2015-11-13 |