NPI | 1407417090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06237000) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015845) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2023-09-24 |