NPI | 1477395150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05401900) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 123144-01) |
1041C0700X Social Worker, Clinical (Licence: PA SW141432) | |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-06-13 |