NPI | 1497152839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05548100) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005215) |
Enumeration Date | 2014-12-01 |
Last Update Date | 2014-12-01 |