NPI | 1649721663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089116) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 098685) |
1041C0700X Social Worker, Clinical (Licence: NJ 44SC06125100) | |
Enumeration Date | 2016-10-14 |
Last Update Date | 2022-10-31 |