NPI | 1770621237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ SCO4420) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 28242) |
Enumeration Date | 2007-02-04 |
Last Update Date | 2007-07-08 |