NPI | 1427453349 |
---|---|
Former Name | JACQUELINE MCGOWAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05844600) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 074564-1) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2023-05-25 |