NPI | 1780232751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05969200) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW19826) |
1041C0700X Social Worker Clinical (Licence: ME LC23623) | |
1041C0700X Social Worker Clinical (Licence: NY 093047) | |
Enumeration Date | 2019-09-03 |
Last Update Date | 2024-06-20 |