NPI | 1619960374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC04545900) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW021209) |
1041C0700X Social Worker Clinical (Licence: DE Q1-0011883) | |
Enumeration Date | 2005-08-29 |
Last Update Date | 2021-06-30 |