NPI | 1518218627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05657100) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05781700) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2012-09-28 |
Last Update Date | 2022-03-02 |