NPI | 1427789635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 108137-01) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06514400) |
Enumeration Date | 2022-06-19 |
Last Update Date | 2022-06-19 |