NPI | 1790191930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06051200) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05865500) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2024-07-08 |