NPI | 1689748477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05156700) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW013669) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2011-03-08 |