NPI | 1740327964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01336600) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00107100) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-08 |