NPI | 1689916371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05703800) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05465000) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2024-07-25 |