NPI | 1558031328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SW05374300) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SW05374300) |
Enumeration Date | 2021-09-14 |
Last Update Date | 2021-09-14 |