NPI | 1770054488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 098267-01) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06654200) |
Enumeration Date | 2018-12-07 |
Last Update Date | 2024-10-03 |