NPI | 1629625033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06522400) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: NJ 44SL06553400) | |
Enumeration Date | 2019-08-20 |
Last Update Date | 2025-08-28 |