NPI | 1558799759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05823000) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05872000) |
Enumeration Date | 2013-10-24 |
Last Update Date | 2019-01-03 |