NPI | 1689253973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06336700) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06650300) |
Enumeration Date | 2021-04-05 |
Last Update Date | 2024-06-20 |