NPI | 1720416811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 15750) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05831600) |
Enumeration Date | 2013-10-29 |
Last Update Date | 2020-09-22 |