NPI | 1558986620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC06303500) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 094997-01) |
Enumeration Date | 2020-06-14 |
Last Update Date | 2024-02-23 |