NPI | 1578197380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05984400) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06275700) |
Enumeration Date | 2020-03-02 |
Last Update Date | 2025-02-20 |