NPI | 1427648336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05977400) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095282) |
Enumeration Date | 2021-01-25 |
Last Update Date | 2024-10-15 |