NPI | 1598191520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05864900) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05801100) |
Enumeration Date | 2013-09-23 |
Last Update Date | 2023-06-09 |