NPI | 1740684315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06216800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 094839) |
Enumeration Date | 2014-10-10 |
Last Update Date | 2023-08-17 |