NPI | 1659788313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005995) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05576800) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2019-06-19 |