NPI | 1568604213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05450800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077996-1) |
Enumeration Date | 2009-03-26 |
Last Update Date | 2018-07-24 |