NPI | 1780246066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06073300) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW135376) |
Enumeration Date | 2019-07-08 |
Last Update Date | 2022-02-21 |