NPI | 1710151535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05259400) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077257-1) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2015-07-29 |