NPI | 1518287135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05255900) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00149500) |
Enumeration Date | 2010-06-05 |
Last Update Date | 2014-05-05 |