NPI | 1578110466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06420900) |
Additional Taxonomies | 104100000X Social Worker |
104100000X Social Worker (Licence: NY 103791) | |
Enumeration Date | 2019-08-24 |
Last Update Date | 2025-01-28 |