NPI | 1588990204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05540900) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 080271) |
Enumeration Date | 2009-10-30 |
Last Update Date | 2014-12-03 |