NPI | 1710258769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083414) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SC05694900) |
Enumeration Date | 2012-01-23 |
Last Update Date | 2021-04-14 |