NPI | 1578143046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06274100) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06538000) |
Enumeration Date | 2021-04-09 |
Last Update Date | 2024-07-23 |