NPI | 1750861704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06093400) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020124) |
1041C0700X Social Worker, Clinical (Licence: IL 140.020124) | |
Enumeration Date | 2018-08-20 |
Last Update Date | 2023-06-14 |