NPI | 1699237222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06197900) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21047) |
Enumeration Date | 2019-04-02 |
Last Update Date | 2023-03-31 |