NPI | 1528733045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05521200) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 604553) |
Enumeration Date | 2021-08-16 |
Last Update Date | 2021-08-16 |