NPI | 1437715828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05893500) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06262300) |
Enumeration Date | 2019-05-12 |
Last Update Date | 2021-08-20 |