NPI | 1720126949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00593900) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY R0149411) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2010-10-15 |