NPI | 1629115209 |
---|---|
Other Name | PENENA P ROSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0322681) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00189500) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2015-06-16 |