NPI | 1558711044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06006800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 11448) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2024-09-25 |