NPI | 1568703692 |
---|---|
Former Name | ELIZABETH BERNADETTE GRUENFELDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05651000) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05807900) |
Enumeration Date | 2013-03-14 |
Last Update Date | 2015-10-06 |