NPI | 1568013258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06274200) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 110985) |
Enumeration Date | 2019-09-24 |
Last Update Date | 2024-08-22 |